HomeMy WebLinkAboutHomestead_Doane INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'D:PREPARER' . -- t.
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Tide
501 Main Street Suite 101 _ Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 sherri.hudson(cieffbosse.com
City,State and ZIP Code Telephone Number E-mail
■E:SELLER(S)/GRANTOR(S) : . _ .,.» -:.x. >. -- —..__:.;t 34...` ; _L-•.:
Eileen M Carter Trust
Seller l-Name as appears on conveyanced ument Seller 2-Name as appears on conveyance document
0'10 1J. W rib% re Sir•
*Ors Street)• Address(Number and Street)
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn• ete as requir . e y law,and is prepared in accordance wit C 6-1 .5,"Real Prope Sales Disclosure Act".
•=-7. of Seller. — ,�"Gib ' _ Y a +"nature of Seller , I
in ia°11g '' rr,VVVV eCATer ��tlett1o() -20-I I
Printed Name of Seller Sian Date(MM/DD/rin Printed Name of Seller Sian Date(Me/DD/rYYY)
;FI BUYER(S)/GRANTEE(S)&APP LIGATION.FORPROPERTY_TAX'DEDUCTIONS=:IDENTIFY ALL ITEMS}THAT APPLY_' _-,; ..tJ
Paul E.Doane Linda L. Doane
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
906 Chickasaw Dr 906 Chickasaw Dr
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF TFlicSE T .
YES NO CONDITION I YES NO CONDITION N TF
0 ❑ 1.Will this property be the buyer's primary d ❑ 3.Homestead MAIL 7 •i U14
residence? Provide complete address of primary ❑ 17 4.Solar Energy He ting/Coolie System
Rresidence,including D A.county: ❑ 1i 5.Wind Power - —
011.ROQUOIS DRIVE
c ddrea(NvmberaadStreet) n ❑ 19 6.Hydro f$t@PbCaLINfYeAUDITOR
('T (� RNCH) _I-A/ t�7(o ci 2� e 18S DA/ 0 0 7.Geothermal Energy Heating/Cooling Device
Ciry,•State ZIP Code y_Counry)
Er ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 19 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
nclu Ing county: below.Please see instructions for more information.
9'06 CA)cI�° u -Pri vc Not available in all counties.)
Tess e u�er aSirret) ior 1Srarc I )ar.. 47448 GiL
son a& -lq-1 c - Ibt -ODD • 1 1 {-W I
Ciity State ZIP Code QCounry-
Primary property owner contact name E-mail